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Individual

ALYSSA K. VOSBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3649 RICHARD ST, MADISON, WI 53714-2341
(082) 203-7436
Mailing address
3649 RICHARD ST, MADISON, WI 53714-2341

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3704-023
WI
363AM0700X
Medical Physician Assistant
Primary
3704
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164897989
WI
Enumeration date
12/04/2015
Last updated
04/12/2023
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